| Kellie R Dryden Lcsw Counseling Services | |
|
424 Lewis Hargett Cir Ste 250 Lexington KY 40503-3687 | |
| (859) 806-9455 | |
| Not Available |
| Full Name | Kellie R Dryden Lcsw Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 424 Lewis Hargett Cir Ste 250, Lexington, Kentucky |
| Authorized Official Name and Position | Kellie Reagan Dryden (OWNER) |
| Authorized Official Contact | 8598069455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie R Dryden Lcsw Counseling Services 424 Lewis Hargett Cir Ste 250 Lexington KY 40503-3687 Ph: (859) 806-9455 | Kellie R Dryden Lcsw Counseling Services 424 Lewis Hargett Cir Ste 250 Lexington KY 40503-3687 Ph: (859) 806-9455 |
| NPI Number | 1154013449 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Medicare PECOS PAC ID | 9133581374 |
|---|---|
| Medicare Enrollment ID | O20230818003376 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154013449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kellie Reagan Dryden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790106888 PECOS PAC ID: 2961630777 Enrollment ID: I20140123001737 |
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